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Physician's Choice Cardiology, PLLC

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Company Details

Name: Physician's Choice Cardiology, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 Nov 2018 (7 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 3341773
Place of Formation: IDAHO
File Number: 642345
ZIP code: 83274
County: Bingham County
Principal Address: RICK LATHAM, MD 1075 EAST 1465 NORTH SHELLEY, ID 83274-5091
Mailing Address: RICK LATHAM, MD 1075 E 1465 N SHELLEY, ID 83274-5091

Agent

Name Role Address
Ricky D Latham Agent 1075 EAST 1465 NORTH, SHELLEY, ID 83274-5091

Manager

Name Role Address Appointed On
Ricky D Latham Manager 1075 E 1465 N, SHELLEY, ID 83274 2020-10-06

National Provider Identifier

NPI Number:
1942771043

Authorized Person:

Name:
RICKY LATHAM
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RI0011X - Interventional Cardiology Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005935629 2024-10-10
Annual Report 0005421396 2023-10-03
Annual Report 0004954052 2022-10-16
Application for Reinstatement 0004618746 2022-02-20
Dissolution/Revocation - Administrative 0004617010 2022-02-19

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Date of last update: 15 Aug 2025

Sources: Idaho Secretary of State